Stormwater- Checklist

Facility Name: SIEGWERK USA, INC.

Permit Type: GP #1 Legal Status: Private     File No: 4176   Authorization No: 4176-4016

Expiration Date: 9/21/2028(current) Address: 3535 SW 56TH ST. - DES MOINES , IA 50321

County: POLK Field Office: 5 SIC: 2893 Geospatial Information: 442344(X)/4600343(Y)

Checklist Checklist Completed. Automatic Update NOI Received Fee Correct Facility Info PPP Developed Location Info PPP Comply Outfall Info Public Notice Received   Contact Info Public Notice Complete   Permit Type Info Signature   Fee Paid File Memo   Fee Memo